Individual
MARTIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 N ELM ST STE 100, HINSDALE, IL 60521-3644
(630) 655-3636
Mailing address
14252 WITTINGTON CT, ORLAND PARK, IL 60462-2989
(708) 420-6317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.034314
IL
1223E0200X
Endodontics
Primary
021.003541
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
07/07/2026
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